Dissociation – part of Cold Therapy together with other approaches to trauma
integrative deficit, not defense (child has few active defenses), symptoms
(psychoform and somatoform).
and adaptive behavior depend on synthesis (association of all components of
experiences and functions into meaningful coherent mental structures both
episodically and across time) and realization (analysis and assimilation via
personification and presentification – bring past and future to bear on
present, mindfulness and reflexivity).
is failure in personification (semantic not episodic memory, see my vid).
reduces integrative capacity. In premorbid personalities with low integrative
capacity, may lead to dissociation.
systems (inborn, self-organizing, self-stabilizing, and homeostatic emotional
operating systems): 1. Guides daily living and survival of the species 2.
Physical defense under threat (4 Fs) 1+2 = social defense against abandonment
and rejection (haywire in BPD) and interoreceptive defense against mental
content (=defense mechanisms, primitive like splitting or sophisticated like passive-aggression).
Samuel Myers 1940 in acutely traumatized war veterans: AS1 linked to ANP
(apparently normal parts) AS2 linked to EP (emotional parts of the
personality). Myers called them “personalities”, but today we call them
contains vivid trauma recall (FLASHBACKS) and vehement negative emotionality
(fear, horror, helplessness, anger, guilt, shame – or listless, non-responsive,
submissive – or derealized and depersonalized). They are linked to body
dysmorphia and separate sense of self.
represses traumatic memories and avoids triggers via amnesia, sensory
anesthesia, restricted emotions, numbness, depersonalization.
conditioned to fear EP and reacts to intrusion by altering or lowering
consciousness, substance abuse, addictions, compulsions, self-mutilation (to
silence inner voice of EP), phobias or mental action, of dissociative parts,
attachment and intimacy, attachment loss, normal life and change, evaluative
conditioning (associating neutral stimuli with negative or positive outcomes
and feelings owing to prior association with negative or positive stimuli),
can have one of each (Primary SD), one ANP and two or more EP (Secondary), or
multiple ANP and EP (Tertiary).
ANP and EP have rudimentary sense of self (“I”) and exclusive access to some
memories (=identity, see my lecture to Rostov students).
parts vary in degree of intrusion and avoidance of trauma-related cues, affect
regulation, psychological defenses, capacity for insight, response to stimuli,
body movements, behaviors, cognitive schemas, attention, attachment styles,
sense of self, self-destructiveness, promiscuity, suicidality, flexibility and
adaptability in daily life, structural division, autonomy, number, subjective
experience, overt manifestations, dissociative symptoms (negative like amnesia,
numbness, impaired thinking, loss of skills, needs, wishes, fantasies, loss of
motor functions or skills, loss of sensation; or positive when mental content
or functions of one part introduce on another part’s – psychotic/schizophrenioa
like voices, nonvolitional behaviors, tics, pains; psychoform or